Individual provider Active NPI

Karen S Shipkovitz, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1740369198
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW000547L Issued in PA
Practice address
1312 Federal St
Pittsburgh, PA 15212
Phone
(412) 321-0255
Fax
(412) 321-3452
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW000547L PA Primary

Addresses

Primary practice location

1312 Federal St
Pittsburgh, PA 15212

Mailing address

590 Old Mill Rd
Pittsburgh, PA 15238-1918
Phone (412) 963-1370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW000547LPAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
General Medical Practitioners and Specialists P.C. CurrentSince Mar 17, 2014 Accepting new patients

Locations

800 Vinial St
Ste B405
Pittsburgh, PA 15212
Phone (412) 321-0255

1312 Federal St
Pittsburgh, PA 15212
Phone (215) 608-8937

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740369198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 OLD MILL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152381918",
            "telephone_number": "412-963-1370",
            "fax_number": "412-963-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 FEDERAL ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15212",
            "telephone_number": "412-321-0255",
            "fax_number": "412-321-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPKOVITZ",
        "first_name": "KAREN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW000547L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.